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UNITED SPECIALTY INSURANCE COMPANY <br />3250 Grey Hawk Ct, Unit Z • Carlsbad, CA 92010 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />UNITED SPECIALTY INSURANCE COMPANY <br />COMMERCIAL GENERAL LIABILITY POLICY <br />ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS <br />SCHEDULED PERSON OR ORGANIZATION INCLUDING WAIVER OF SUBROGATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />Name of Additional Insured: <br />The City of Santa Ana, it's officers, employees, agents, and representative are named as additional insured. The City of Santa Ana, <br />20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative are named as additional <br />insureds. The City of Santa Ana is also Primary & Non -Contributory, including Waiver of Subrogation. With respect the additional <br />insureds, this insurance shall not be canceled or materially reduced in coverage or limits except after thirty (30) days written notice <br />has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. <br />If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />A. Section III - Who Is An Insured is amended to include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for `bodily injury", "property <br />damage" or "personal and advertising injury" caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your behalf; <br />in the perfonnance of your ongoing operations performed during the policy period for the additional <br />insured(s) at the location(s) designated above. <br />B. This insurance does not apply to `bodily injury" or "property damage" that takes place after, and the <br />Additional hrsured's status as an additional insured terminates, upon the earlier of when: <br />1. All work, including materials, parts or equipment furnished by the Named Insured in connection with <br />such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf <br />of the additional insured(s) at the location of the covered operations has been completed; <br />or <br />2. That portion of'Syour work" out of which the injury or damage arises has been put to its intended use <br />by any person or organization other than another contractor engaged in performing operations for a <br />principal as part of the same project. <br />C. If expressly required by a written and legally enforceable contract entered into by the Named Insured prior to commencement <br />of work by the Named Insured for the Additional Insured, then we waive any right of subrogation we may have against an <br />entity that is an Additional Insured per the terms of this endorsement because of payments we make for injury or damage <br />arising out of "your work" performed under such written and legally enforceable contract with that Additional Insured. <br />Coverage for any additional insured is governed by the terms, conditions, and exclusions of this policy and all <br />endorsements, including the Insuring Agreement. <br />The coverage provided for any additional insured is only to the extent of and in the proportion the additional Insured / <br />is held liable for the negligence or strict liability/conduct/acts of the Named Insured. No coverage is provided for d7 <br />liability based upon the acts, errors or omissions of the Additional Insured. a��• <br />Except as set forth above, all of the terms, conditions and exclusions of this policy apply and remain in effect <br />Q,N� <br />PolicyNo.: PCA5017-PC307563ADP United Specialty Insurancq.Company �5 <br />Date: 04l17/2019 c�t�y Hawk o <br />By: <br />Time: I2:01 A,m, CJ� G5 <br />u zed Represetd ve QQ— <br />USIC AIE OCIPWOS 00 010318 Page 1 of 1 <br />